NPIMap

Organization Active NPI

Monique Rechelle Delay Moore

  • Community/Behavioral Health Agency
  • Macon, GA
National Provider Identifier
1073914115
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW004960 Issued in GA
Legal business name
MONIQUE RECHELLE DELAY MOORE
Practice address
646 Millrun Court
Macon, GA 31210
Phone
(317) 809-0512
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monique Rechelle Delay-MooreNPI 1467697524
Title
License Clinical Social Worker
Phone
(317) 809-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSW004960 GA Primary

Addresses

Primary practice location

646 Millrun Court
Macon, GA 31210

Mailing address

646 Millrun Court
Macon, GA 31210
Phone (317) 809-0512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1073914115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 MILLRUN COURT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "317-809-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 MILLRUN COURT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "317-809-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE RECHELLE DELAY MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "DELAY-MOORE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "RECHELLE",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "317-809-0512"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW004960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.